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Hints from the Health Department. Leaflet from the archive of the Society of Medical Officers of Health. Credit: Wellcome Collection, London

London County Council 1922

[Report of the Medical Officer of Health for London County Council]

Published
1923
Pages
147
Tables
53

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53 tables in this report

  • Page 4
    The distribution of deaths by ages during 1922 is shown in the following table, together with corresponding figures for post-war years. The average deaths for the four years 1911-14 are also shown for the purpose of comparison:—
  • Page 8
    The following table shows the age distribution of the 65 patients attacked:—
  • Page 11
    A comparison of the post-war age-incidence of phthisis mortality per 100,000 living with that before the war is provided in the following table:—
    Period.0-5-10-15-20-25-35-45-55-65-75-
  • Page 13
    The following is an analysis of the corrected notifications in London during (52 weeks):—
    Form of tuberculosis notified.Sex.Notifications on Form A. (Total of primary notifications received in London boroughs, other than elementary school cases, injra.)
    0—1—5—10—15—20—25—35—45—55—65 +Total.
  • Page 14
    Continued from previous page...
    Form of tuberculosis notified.Sex.Notifications on Form B. (Primarynotifications of cases discovered through medical inspection in elementary schools.)Notifications on Form C. (Secondary notifications from institutions receiving cases.)
    0—5—10 +Total.Poor Law.Other.
  • Page 17
    The following table shows the age incidence of actual cases of cerebrospinal meningitis, poliomyelitis and encephalitis lethargica during 1922.
    Under 3.3-5.5-1010-20.20-30.30-40.40-50.50-60.Over 60.Total.
  • Page 17
    The following table shows the yearly incidence (of cases notified) of cerebrospinal meningitis and poliomyelitis since 1913, and of encephalitis lethargica since 1919.
    1913.1914.1915.1916.1917.1918.1919.1920.1921.1922.
  • Page 24 25
    Table showing the occurrence of groups of cases of typhoid fever in London boroughs during the years 1891-1922.
    Year.Four week period.Boroughs with more than 30 cases in any four week period.Concurrent prevalences in other boroughs affecting the same or an adjacent period.Notes on the prevalences in columns 3 and 4, with observations on other special features in the year in question.
  • Page 26 27
    Continued from previous page...
    Year.Four week period.Boroughs with more than 30 cases in any four week period.Concurrent prevalences in other boroughs affecting the same or an adjacent period.Notes on the prevalences in columns 3 and 4, with observations on other special features in the year in question.
  • Page 36
    Another point in the Returns worthy of note is the total number of examinations made of pathological specimens. Comparative figures for the six years are shown in the following table:—
    Pathological examinations.
    Year.For treatment centres.For private practitioners.
  • Page 37
    The changes which have taken place in the tenemental occupation in the county as a whole are broadly indicated in the following table:—
    1911.1921.
  • Page 39
    The following table shows the changes which have taken place in the occupancy of 1-4 roomed tenements in London during the past four censuses:—
    Tenement ofPercentage of total tenements.Percentage of total population living in tenements occupied by more than two persons per room.
    1891.1901.1911.1921.1891.1901.1911.1921.
  • Page 39
    The proportion of the private family population of the county and of each metropolitan borough living in tenements with more than two persons per room in 1911 and 1921 is shown in the following table, in which the boroughs are arranged in topographical order to facilitate comparison:—
    Metropolitan boroughs.Percentage of total private family population living in tenements occupied by more than two persons per room.Metropolitan boroughs.Percentage of total private family population living in tenements occupied by more than two persons per room.
    1911.1921.1911.1921.
  • Page 40
    The subjoined table shows the number of sanitary officers and health visitors employed by the sanitary authorities in London:—
    Sanitary area.Sanitary inspectors.
    Male.Female.Health visitors.
    Whole time.Part time.Whole time.Part time.
  • Page 41
    These applications were as indicated below:—
  • Page 41
    The classification of the 2,494 patients discharged after observation in hospitals.
  • Page 41
    Disposal of 2,204 cases in which tuberculosis was diagnosed with comparable figures for 1921.
    Year.
    1922.1921.
  • Page 43
    During the year 894 cases (an increase or122 or 17 per cent.) were examined with the following results:—
    Type.Male.Female.Total.Type.Male.Female.Total.
  • Page 43
    Percentage distribution
    Intelligence quotients.Delinquent defectives.Non-delinquent defectives.
    100 children415 adults.8,737 children1,870 adults
  • Page 44
    Relationship between mental ages and charges.
    Women. Charge.Mental age.Total.Average mental age.
    45678910111215
  • Page 44
    Degree of emotional stability.
  • Page 45
    Employability.
    Nature of offence.Unemployable.Occasional employment.Regular emplovment.Just, left school.Total.
  • Page 45
    Relation between capacity for employment and stability.
    Employability.Stable.Slight times unstable.Moderately unstable.Very unstable.Total.
  • Page 53
    TABLE I. COUNTY OF LONDON. Vital statistics for the several metropolitan boroughs and the County of London in the year 1922. (Rates per 1,000 of civil population.)
    Metropolitan boroughs. (Arranged in topographical order!)Estimated civil population, 1922.Births.Deaths.Infant mortality (per 1,000 births.MeaslesScarlet fever.Diph-theria.Whoop- ing cough.Ty-phoid fever.Diarrhœa and Enteritis, age 0-2 (per 1,000 births).Phthisis.Cancer.SmallpoxCases of notifiable infectious disease.
    Scarlet fever.Diphtheria.Typhoid fever.Erysipelas.Puerperal fever 'per 1,000 births).Cere-bro-spinal fever.Acute pneumonia.Smallpox.
  • Page 54
    TABLE II. COUNTY OP LONDON. Statistics of the administrative work carried out during the year 1922.
    Sanitary Authority.No. licensed.No. of inspections.No. licensed.No. of inspections.No. licensed.No. of inspections.Observations.Complaints.Notices.No. illegally occupied.No. closed or otherwise remedied.Instances found.No. remedied.No. on register.No. of inspections.Prosecutions.Houses licensed.Authorised lodgers.Adults.Children.Premises or rooms.Tenement houses 1 extra supply.No. on register.No. of inspections.No. on register.No. of inspections.No. of places.No. of inspections.
  • Page 55
    Table III. Tuberculosis Dispensaries—Analysis of Returns Jan.-Dec., 1922.
    123456789101112
    Borough and dispensary.Under observation on 1-1-1922 pending diagnosis.Examined for first time during 1922, including contacts.Number of contacts included in (3).Number included under (3) suffering fromNumbers included under(3) found to be non-tuberculous.Under observation on 31st December, 1922, pending diagnosis.Total attendances, including col. 3.Visits to homes byHome consul tat ion with practitioners.References to affiliated hospitals.Specimens of sputum examined
    Pulmonary.Non-pulinonary.
    dults.Children.Adults.Children.Adults.Children.Adults.Child ren.Adults.Children.Adults.Children.Adults.Children.Tuberculosis officer.Dispensary nurse.
  • Page 61
    In the following table the figures show at biennial periods the condition in percentages of the teeth of the 12 year old pupils: (1) standing for sound teeth, (2) for slight dental caries, (3) for extensive caries.
  • Page 62
    The following table sets out the figures for visual acuity from 1918-1922; the first column in each case refers to children who readily pass the Snellen test at 20 feet, the second column those who just fail, and the third column those with relatively serious visual defect.
    Year.Eight years old.Twelve years old.
    Boys.Girls.Boys.Girls.
    Normal.Poor.Bad.Normal.Poor.Bad.NormalPoor.Bad.Normal.Poor.Bad.
  • Page 78
    The results of the work for the several years 1912-1922 under the Cleansing Scheme are shown in the following table:—
    Year.No. of examinations made at Rota visits.No. of verminous conditions noted at Rota visits.Per cent.No. of verminous children referred to stations.No. subsequently cleansed by parents.No. of verminous children cleansed at stations.No. of scabies cases bathed at stations.No. of cleansing* for vermin and scabies.
  • Page 84
    The relationship of virulence to abnormal conditions of throat or nose and history of exposure to infection in 141 cases tested is set out in the subjoined table.
    Defects of throat or nose.History of sore throat illness or cold.In hospital with diphtheria.In hospital, witn scarlet fever.Family history of sore throats or carriers.Homo or desk contacts of diphtheria.
  • Page 90
    The following statement shows the nature of the conditions found among the children certified suitable for admission to physically defective schools at the admission examinations during the year:—
    Morbid condition.Boys.Girls.Total.
  • Page 90
    In the 177 cases found suitable for special education, the cause of deafness has been classified as under:—
  • Page 95
    The later history of children, many of whom had been in special or other schools, shows that the types of schooling received were as follows:—
    Charge.*Elementary schools (London).Special schools (London).Elementary schools (Country).Private schools.Not known.
  • Page 95
    TABLE I. Number of Children inspected 1st January, 1922, to 31st December, 1922. (a) ROUTINE MEDICAL INSPECTION, 1922.
    Entrants.Age 8.Age 12.Age 13.Total elementary schools.Total special schools.
    3.4.5.6.7.Total.
  • Page 96
    TABLE II. Return of Defects found in the Course of Medical Inspection in 1922.
    Defect or disease.Routine examination.Special.
    Number referred for treatmenttNumber noted for observation.Number referred for treatment.Number noted for observation.
  • Page 96
    TABLE III. Numerical Return of all Exceptional Children in the Area in 1922.
    Boys.Girls.Total.
  • Page 97
    Continued from previous page...
    Boys.Girls.Total.
  • Page 98
    Continued from previous page...
    Other Physically Defectives, e.g., defectives and other children suitable for admission to open-air schools—Boys.Girls.Total.
  • Page 98
    TABLE IV. Treatment of Defects of Children during 1922. A.—Treatment of Minor Ailments.
    Disease or defect.Number of children.
    Referred for treatment by school doctor.Treated.
    Under scheme.Otherwise.Total.
  • Page 99
    D.—Treatment of Dental Defect. I.
    Inspected by dentist.Referred for treatmentTreated under scheme.Re-treated under scheme.Otherwise treated.
    By dentist.By school doctor.
  • Page 99
    TABLE V. Summary of Treatment of Defects as shown in Table IV.
    Class of defect.Referred for treatment.Number of children treated.
    Under scheme.Otherwise.Total.
  • Page 99
    TABLE VI. Summary relating to Children Medically Inspected at the Routine Inspections during the year 1922.
  • Page 101
    The following table shows the provision for residential treatment under the Council's scheme (excluding insured persons and ex-service men)*
    Year.New cases admitted during year.Beds occupied at end of year.
    Adults.Children.Total.Adults.Children.Total.
  • Page 101
    The following table shows the provision for residential treatment in London for insured persons and ex-service men.
    Admissions during year.Beds occupied at end of year.
    Insured adults.Ex-service men.Total.Insured adults.Ex-service men.Total.
  • Page 105
    Particulars with regard to common lodging-houses licensed by the Council are as follows :—
    Year.Houses licensed.Lodgers authorised.Prosecutions.Convictions.Penalties and costs.Cases of infectious disease.
  • Page 105
    Particulars of seamen's lodging-houses licensed by the Council are as follows :—
  • Page 106
    The following table gives particulars of licensed slaughterhouses, knackers yards and registered offensive businesses for 1920-22:—
    Year.Slaughterhouses.Knackers' yards.Offensive businesses.
  • Page 112
    During 1922 repairs to mam sewers were executed at approximate amounts as follows:—
    Feet£
  • Page 113
    Continued from previous page...
    Feet£
  • Page 121
    The accommodation in each revised type of house and the estimated saving in cost as compared with houses of similar type previously erected are as follows:—
    Type No.Accommodation.Estimated saving in cost.
  • Page 123
    The financial results of the whole operations in connection with housing, including clearance schemes, for the year ended 31st March, 1923, may be very shortly summarised as follows, the results for the previous year being also given for comparison.
    Non-Assisted Schemes— Dwellings—1922-23 Surplus (+) Deficiency (—) £1921-22 Surplus (+) Deficiency (—) £
  • Page 124
    The results of the year's working compared with those of the previous year are as follows :—
    Dwellings under—1922-23.1921-22.
    £s.d.£s.d.
  • Page 125
    Working-class dwellings.—The results for the year 1922-23, as compared with those of the previous year, are as follows:—